Walters Daniel, Patel Mitul, Penny William
University of California, San Diego, United States of America.
Cardiovasc Revasc Med. 2019 Dec;20(12):1190-1195. doi: 10.1016/j.carrev.2019.01.029. Epub 2019 Feb 8.
SVG aneurysms are relatively rare clinical entities most often encountered discovered as an incidental finding in patients with prior CABG surgery. There is a substantial risk of complications including rupture and death, thus surgical or percutaneous management may be considered in particular in symptomatic patients. Here, three cases are presented highlighting various percutaneous management options and considerations, including covered stent placement, coil occlusion, and a combined approach with the use of a peripheral covered stent. Intervention within this patient population lacks large population long-term outcomes and as such should be performed carefully by experienced operators, often the guidance of a Heart Team based approach.
SVG动脉瘤是相对罕见的临床实体，最常作为既往冠状动脉旁路移植术（CABG）患者的偶然发现。存在包括破裂和死亡在内的重大并发症风险，因此，特别是对于有症状的患者，可考虑手术或经皮治疗。在此，介绍三例病例，突出各种经皮治疗选择和注意事项，包括覆膜支架置入、弹簧圈栓塞，以及使用外周覆膜支架的联合方法。该患者群体的介入治疗缺乏大量人群的长期结果，因此应由经验丰富的操作者谨慎进行，通常采用心脏团队的方法进行指导。
